| Ralph Lilly Md Pa | |
|
6410 Fannin #1423 Houston TX 77030 | |
| (713) 796-1148 | |
| Not Available |
| Full Name | Ralph Lilly Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 6410 Fannin #1423, Houston, Texas |
| Authorized Official Name and Position | Ralph Lilly (DIRECTOR) |
| Authorized Official Contact | 7137961148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ralph Lilly Md Pa P O Box 540088 Houston TX 77030 Ph: (713) 850-1190 | Ralph Lilly Md Pa 6410 Fannin #1423 Houston TX 77030 Ph: (713) 796-1148 |
| NPI Number | 1093937229 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093937229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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